Royal College of General Practitioners



Royal College of General Practitioners

Yorkshire Faculty

MRCGP Preparation Course

2005 Version

Paper 2

PART II (at the preparation course)

o Make sure that your name is on the top of this front cover

o There are 100 questions (50 questions now and 50 to take home with you to practice)

o You have 40 minutes (30 years old

C early menarche

D late menopause

E BRCA genes

84. …………………………………………….

From the following vocabulary of drug users, choose one term that is most likely associated with the drugs below:

A Billy

B poppers

C snappers

D Charlie

E scag

F echo

G Mary

H Mud

J angel dust

85. amphetamines

……………….……………………..

86. cocaine

…………………………………………

87. methadone

……………………………………

From the following possible diagnoses, choose one cause that is most likely to give a normocytic anaemia

A thalassaemia

B chronic renal failure

C liver disease

D haemolytic anaemia

E hypothyroidism

88. ……………………………………………….

Below is a list of possible descriptions of a peripheral blood film. Choose the most appropriate description to be found for the diseases below

A basophilic stippling

B Howell-Jolly bodies

C normoblastosis

D poikilocytosis

E reticulocytosis

F hypochromia

G hypersegmented polymorphs

H rouleax formation

J target cells

89. any condition with a high ESR

………………………………….

90. hyposplenism

………………………………..

91. uraemia

……………….………………

The following is an example of a trial profile. This was a randomised controlled trial comparing satisfaction (by questionnaire) and several other parameters of care between nurse practitioners and general practitioners.

If we were to analyse this study by intention to treat, then we would use the following figures

A 208 & 312

B 294 & 290

C 312 & 272

D 272 & 203

92. ……………….……………………..

If we were to analyse this study by on treatment, then we would use the following figures

A 208 & 312

B 294 & 290

C 312 & 272

D 272 & 203

93. …………………..…………………..

Which of the following would have the effect of increasing the required sample size for a randomized study examining the effects of treatment between a treatment group and a control group

A increasing the treatment differences to be detected between the two groups

B increasing the type II error which is the chance of a false-negative result

C increasing the type I error which the chance of a false-positive result

D increasing the size of the confidence interval between the confidence limits

E reducing the power of the study from 90% to 80%

94. …………………..……………………………….

Which of the following list would usually give the weakest method of random sampling?

A systematic assignment

B simple randomisation

C permuted blocks

D stratified randomisation

E unequal randomisation in a ratio of 2:1

95. …………………………………………….

When considering the combined oral contraceptive, which of the following symptoms would not contra-indicate the pill in relation to migraine aura?

A homonymous hemianopia

B teichopsia

C bright scotoma

D nominal dysphasia

E photophobia

96. ………………………………………….

Below is a list of possible changes to the combined oral contraceptive. For the following side effects choose the most appropriate option to reduce the side effect

A reduce oestrogen or increase progestogen

B increase oestrogen or reduce progestogen

C reduce progestogen and oestrogen

D increase progestogen and oestrogen

97. Nausea

………………………………..

98. Loss of libido

……………….………………..

99. Acne

……………..………………….

The following is a drawing of an eye. From the list below, what is the most likely diagnosis?

[pic]

A iritis

B hypopyon

C marginal corneal ulcer

D acute viral conjunctivitis

E blepharitis

100. ……………………………………..

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[pic]

[pic]

[pic]

[pic]

[pic]

51

Contemplation

50

52

action

Eligible patients

682

Excluded patients for

– Critical illness

– Seen in previous two weeks

– Refusal to take part

98

Recruited patients

584

Patient randomised to see doctor

290

Patient randomised to see nurse

294

Patient changed mind and wished to see nurse

2

Patient changed mind and wished to see doctor

24

Patients consulting doctor

312

Patient consulting nurse

272

Patients consulting nurse practitioner and completed a questionnaire

208

Patients consulting doctor and completed a questionnaire

203

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